Gledowls Cancellation Form
Please note that 4 weeks’ notice must be given for a cancellation as stated in your terms and conditions.
Child's Name
*
First Name
Last Name
Additional names if more than 1 child
Parent/Carer Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 00000 000000.
Sessions to cancel
I would like to cancel the following session(s) at either the Before or After School Club as of the week commencing
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Breakfast Club
*
Monday
Tuesday
Wednesday
Thursday
Friday
N/A
After School Club
*
Monday
Tuesday
Wednesday
Thursday
Friday
N/A
Signature
Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submit
Should be Empty: